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%0*- //CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> �l0 <br /> Total Fee: $ � � Date Received: <br /> Date Approved: <br /> Entered By: - <br /> Permit#: �-- <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ---------------------- <br /> THE APPLICANT IS: (circle one) OWNER r CONTRACTOR st .�u'ts�e�� <br /> JOB SITE ADDRESS: � �� T�C�© IZIP: ?-19 I <br /> (work) <br /> NAME OF OWNER:��/ll� �"" tessfH NE: (home) <br /> MAILING ADDRESS: ' &SS- CITY: �Q1/w -CA ZIP: �� <br /> CO TRA : I PHONE: 1-1'72--19W <br /> MAILING ADDRESS: LIM Fik'We-li k'M/'z--r CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION a <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : eAMP- <br /> STORIES: <br /> SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance wi h the approved plan. <br /> lieAez-5- <br /> APPLICANT'S SIGNATURE: d 7 DATE: x <br />